Provider Demographics
NPI:1467955476
Name:CHAMBERS, LYNITRA NICOLE (MA, QMHS)
Entity Type:Individual
Prefix:MS
First Name:LYNITRA
Middle Name:NICOLE
Last Name:CHAMBERS
Suffix:
Gender:F
Credentials:MA, QMHS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4214 BEECHLAWN RD
Mailing Address - Street 2:
Mailing Address - City:WHITEHALL
Mailing Address - State:OH
Mailing Address - Zip Code:43213-2345
Mailing Address - Country:US
Mailing Address - Phone:614-256-6176
Mailing Address - Fax:
Practice Address - Street 1:1855 E DUBLIN GRANVILLE RD STE 204
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43229-3516
Practice Address - Country:US
Practice Address - Phone:614-267-7003
Practice Address - Fax:614-267-7013
Is Sole Proprietor?:Yes
Enumeration Date:2018-03-15
Last Update Date:2018-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Single Specialty